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General NPI Number Information
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NPI Number | 1598971962
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Entity Type | Organization
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Legal Business Name | FARMACIA SANTA CRUZ
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 14 CALLE MUNOZ RIVERA
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976-5914
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Country | US
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Telephone | 787-292-6760
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Fax | 787-292-6760
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Provider Business Mailing Address
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Address Line | 14 CALLE MUNOZ RIVERA
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976-5914
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Country | US
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Telephone | 787-292-6760
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Fax | 787-292-6760
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Authorized Official
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Title or Position | OWNER
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Name | VICTOR A ALICEA SR.
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Credential |
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Telephone | 787-292-6760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 08-F-1909
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License Number State | PR
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